| NPI | 1215199542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 282266) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 47038) |
| 207Q00000X Family Medicine (Licence: TX R2085) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN 47038) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116020547) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2024-10-24 |