| NPI | 1366972929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 22372) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 33693) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2021-09-06 |