NPI | 1184002032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 30466) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207V00000X Obstetrics & Gynecology (Licence: NC 2019-01854) | |
Enumeration Date | 2015-05-12 |
Last Update Date | 2022-04-06 |