| NPI | 1558858050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 115662) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 241615) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2025-11-20 |