NPI | 1790973576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 042248) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 042248) |
Enumeration Date | 2007-10-05 |
Last Update Date | 2007-10-05 |