NPI | 1265615116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D71998) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD P21883) |
Enumeration Date | 2007-12-14 |
Last Update Date | 2022-02-07 |