| NPI | 1548823065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101281462) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.7629) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT221068) | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2024-08-08 |