| NPI | 1235576273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AL 40784) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ND 191969) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2023-06-30 |