NPI | 1811424591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: FL ME168955) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 28779) |
207V00000X Obstetrics & Gynecology (Licence: MN 64115) | |
Enumeration Date | 2017-05-12 |
Last Update Date | 2024-10-01 |