NPI | 1841797636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 79491) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA MD-50100) |
207V00000X Obstetrics & Gynecology (Licence: TX BP10063956) | |
Enumeration Date | 2018-04-09 |
Last Update Date | 2025-08-21 |