| NPI | 1598051575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A132247) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI MD - 19067) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 69889-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT200453) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2022-12-02 |