NPI | 1528228251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301091952) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301091952) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2021-12-15 |