NPI | 1326302266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PR 19235) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2018-0597) |
2080A0000X Pediatrics, Adolescent Medicine (Licence: PR 19235) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-26 |
Last Update Date | 2021-11-18 |