| NPI | 1124312756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NV 18069) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 54184) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2025-04-01 |