| NPI | 1477173912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MT223828) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4351046980) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2021-06-27 |