| NPI | 1629654355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 80387) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 81074-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2025-05-13 |