| NPI | 1124447685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: DE C1-0025093) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D84948) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2024-01-02 |