| NPI | 1083934541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0096508) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 267701) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116022299) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2024-02-14 |