| NPI | 1306639240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL UO11241) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO11241) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT024561) | |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2026-05-25 |