| NPI | 1417537531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301516353) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.079829) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2026-08-07 |