| NPI | 1205369691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101282428) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036157529) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MD D0100205) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-06-25 |