| NPI | 1669767133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 97432) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD.205977) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2026-04-07 |