NPI | 1922204221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301107869) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD439077) |
Enumeration Date | 2007-06-23 |
Last Update Date | 2015-08-24 |