NPI | 1417344722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S1751) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 008468601) |
Enumeration Date | 2015-04-24 |
Last Update Date | 2024-09-12 |