NPI | 1790125565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 50260) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 36029) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2020-04-02 |