| NPI | 1235558982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101269071) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD464258) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2020-09-04 |