NPI | 1962440107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2008-01400) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2008-01400) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2020-12-21 |