NPI | 1902826720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35-062664) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35062664) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2012-01-24 |