| NPI | 1649639600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.014509) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX U6339) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2024-10-03 |