NPI | 1912032400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2004-00291) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 146556) |
207V00000X Obstetrics & Gynecology (Licence: NJ 25MA04478200) | |
207V00000X Obstetrics & Gynecology (Licence: CA G73676) | |
Enumeration Date | 2007-02-23 |
Last Update Date | 2007-07-08 |