| NPI | 1205364171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2023-00495) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301504662) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2023-07-31 |