| NPI | 1285164756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: OH 35.142117) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2017017591) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2019-0631) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2023-10-19 |