| NPI | 1417219197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R2854) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 62580-21) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2025-08-05 |