| NPI | 1336778091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI FF3995024) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351046719) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX U9518) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207V00000X Obstetrics & Gynecology (Licence: TX U9518) | |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2025-08-06 |