NPI | 1043449820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD472216) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MD472216) |
Enumeration Date | 2009-07-14 |
Last Update Date | 2021-06-09 |