NPI | 1144584012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PR 19237) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 283389) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-26 |
Last Update Date | 2018-07-19 |