| NPI | 1538452339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q5322) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME MD25625) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2022-03-04 |