NPI | 1750304564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME106307) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL29188) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2020-08-04 |