| NPI | 1669882635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 80741) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 58077) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 319864) | |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2014018343) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2025-05-02 |