NPI | 1487115200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 2822) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208D00000X General Practice (Licence: VA 0102206543) | |
Enumeration Date | 2019-03-26 |
Last Update Date | 2023-07-21 |