| NPI | 1457814576 |
|---|---|
| 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: TX V4947) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-03-13 |