| NPI | 1235517772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 073916) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102204872) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2025-02-04 |