NPI | 1669092102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: SD 15644) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-24 |
Last Update Date | 2024-11-20 |