NPI | 1922040567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 42624) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D61836) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2016-07-21 |