NPI | 1255834214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101274209) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101274209) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-15 |
Last Update Date | 2024-09-20 |