| NPI | 1013275452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 61682) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD-2016-0126) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2022-02-03 |