| NPI | 1104901065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OH 35.121760) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207V00000X Obstetrics & Gynecology (Licence: KY TP276) | |
| 207V00000X Obstetrics & Gynecology (Licence: SC LL28216) | |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.121760) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2025-07-29 |