| NPI | 1356760136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-01205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101265178) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 201511) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-11-22 |