NPI | 1811350820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MD D89679) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD v5428) |
Enumeration Date | 2016-03-29 |
Last Update Date | 2020-09-04 |