NPI | 1366947996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NM MD2022-0746) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 64028) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2024-08-08 |