NPI | 1750399218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OR MD25295) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD25295) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD00047990) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2022-02-04 |