| NPI | 1023579992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 162816) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 1023579992) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-07-11 |