NPI | 1740663426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 146365) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5315071057) |
207V00000X Obstetrics & Gynecology (Licence: MI 4301107825) | |
Enumeration Date | 2015-06-30 |
Last Update Date | 2020-10-16 |