| NPI | 1528599412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T1986) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD70021667) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2025-08-27 |