| NPI | 1194304121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2025-01942) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC TOOL-9JS924) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2025-09-18 |