| NPI | 1538401567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101274124) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R3613) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0054982) | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2024-05-13 |