| NPI | 1194138925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NC 2019-00671) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2019-00671) |
| 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: NC 2019-00671) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-01-29 |