| NPI | 1518498245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A181759) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: GA 87921) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2025-10-14 |