| NPI | 1700374394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T4362) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301114618) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2022-06-05 |