| NPI | 1649235920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 1319-TEP) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 49257) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-03-07 |