| NPI | 1275038788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 60488) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2025-02780) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2025-08-12 |