| NPI | 1366186579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 84858) |
| Enumeration Date | 2022-04-24 |
| Last Update Date | 2026-06-21 |