NPI | 1790011815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX N3572) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX N3572) |
Enumeration Date | 2009-10-23 |
Last Update Date | 2021-05-11 |