| NPI | 1407295066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME149173) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R4555) |
| 207V00000X Obstetrics & Gynecology (Licence: PR 19596) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-12-08 |