| NPI | 1528649803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4351048010) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 76508) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-18 |
| Last Update Date | 2025-05-05 |