NPI | 1558775650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME135808) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN20033) |
Enumeration Date | 2014-06-17 |
Last Update Date | 2019-07-01 |