| NPI | 1548899875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 195697) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 80106) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-07-17 |