NPI | 1922562693 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 36149) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 6197714) |
Enumeration Date | 2019-01-28 |
Last Update Date | 2022-07-20 |