| NPI | 1023252301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101254079) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT194853) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194853) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2020-12-30 |