NPI | 1902921711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 65078) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL 29101) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2016-01-17 |