NPI | 1104355353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 271203) |
Enumeration Date | 2017-06-09 |
Last Update Date | 2021-07-09 |