| NPI | 1720045644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 51809) |
| 207V00000X Obstetrics & Gynecology (Licence: TN 40314) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX N1669) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2021-07-30 |