| NPI | 1508200395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 89802) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MS 26175) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2022-01-28 |