NPI | 1861697427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA 128817) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35095607) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2022-02-10 |