NPI | 1720344591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: VA 0101266924) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 207V00000X) |
207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: NC 2016-00379) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-05 |
Last Update Date | 2021-08-02 |