NPI | 1770530289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 49246) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD154611) |
207V00000X Obstetrics & Gynecology (Licence: WA MD00045694) | |
Enumeration Date | 2006-05-28 |
Last Update Date | 2025-01-16 |