| NPI | 1033571807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2024-01991) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101270126) |
| 207V00000X Obstetrics & Gynecology (Licence: TX T5431) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2026-01-06 |