NPI | 1811275399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 1013856) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 262503) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2021-06-15 |