NPI | 1992009955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 259890) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301111023) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2024-06-27 |