NPI | 1316470438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD469408) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11160100) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT212721) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2024-05-20 |