NPI | 1134651060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX V0630) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35141298) |
207V00000X Obstetrics & Gynecology (Licence: OH 35.141298) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-30 |
Last Update Date | 2024-09-04 |