NPI | 1790892024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD39840) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: GA 81225) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2018-08-10 |