NPI | 1598110991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 67170) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MN 67170) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 218733) | |
Enumeration Date | 2016-05-04 |
Last Update Date | 2024-01-22 |