NPI | 1750673554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX T5689) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60541358) |
Enumeration Date | 2011-05-11 |
Last Update Date | 2023-12-14 |