NPI | 1194108548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0063163) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301108477) |
Enumeration Date | 2015-07-02 |
Last Update Date | 2019-08-28 |