NPI | 1962606483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD154537) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60218135) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2015-06-09 |