| NPI | 1487101432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 92661) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 681694) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2022-09-26 |