| NPI | 1477246528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH R4354) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4351050885) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351050885) | |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2024-06-05 |