| NPI | 1447879358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2024-0580) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2024-0580) |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP10071475) | |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2024-07-18 |