| NPI | 1255837472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2023-01635) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS022355) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2023-08-10 |