| NPI | 1295318848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 304667) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101285364) |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2025-06-16 |