NPI | 1821017583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 0420012252) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD425579) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2014-12-04 |