NPI | 1881899300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0013225) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS015282) |
207V00000X Obstetrics & Gynecology (Licence: PA OT012071) | |
Enumeration Date | 2007-06-15 |
Last Update Date | 2019-10-16 |