NPI | 1255837472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2023-01635) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS022355) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-05 |
Last Update Date | 2023-08-10 |