NPI | 1841654159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME155958) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 282751) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-12 |
Last Update Date | 2022-07-06 |