NPI | 1669732640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2016-00692) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 182692) |
Enumeration Date | 2012-05-23 |
Last Update Date | 2021-03-01 |