NPI | 1962664730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 2011003938) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2011003938) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2018-01-24 |