| NPI | 1386148963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 82121) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2022-00867) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-08-05 |