NPI | 1215182035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OR MD157181) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60471447) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: UT 74714991205) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-11-20 |
Last Update Date | 2022-09-13 |