| NPI | 1659867703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2024-0032) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.076566) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2024-04-01 |