| NPI | 1629428289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 05395) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS16498) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN UO5199) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-01-10 |