NPI | 1265708796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 61417) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207V00000X Obstetrics & Gynecology (Licence: PA MD457507) | |
Enumeration Date | 2012-03-29 |
Last Update Date | 2024-06-10 |