| NPI | 1407425358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.016995) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2026-02-11 |