| NPI | 1326302266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: PR 19235) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2018-0597) |
| 2080A0000X Pediatrics Adolescent Medicine (Licence: PR 19235) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2021-11-18 |