| NPI | 1649852310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 125-078941) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 82376) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2025-09-10 |