| NPI | 1508182502 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX Q0910) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q0910) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-15 | 
| Last Update Date | 2025-06-20 |