| NPI | 1588156384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME157387) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301114765) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301114765) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-06-22 |