| NPI | 1649915703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC SATT-9WKT81) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD.MD.70094839) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2026-04-12 |