| NPI | 1194413922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO PENDING) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-07-12 |