NPI | 1326543778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 315120-01) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME146041) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-28 |
Last Update Date | 2024-09-04 |