| NPI | 1417213109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 87081) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AL MD35230) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2023-10-27 |