| NPI | 1689036493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA 61555510) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.153058) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-08-02 |