NPI | 1619144151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA 148151) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD443853) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA 60374607) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-05-14 |
Last Update Date | 2022-07-21 |