| NPI | 1326468604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: GA 080023) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: GA 080023) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2022-08-08 |