| NPI | 1285211193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 23433) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 36138) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2023-09-26 |