NPI | 1174835136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 2017014169) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: KS 04-39969) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-07-07 |
Last Update Date | 2022-01-04 |