NPI | 1740541291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0084730) |
Additional Taxonomies | 171000000X Military Health Care Provider |
207V00000X Obstetrics & Gynecology (Licence: VA 0101256369) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-31 |
Last Update Date | 2018-08-07 |