| NPI | 1720442882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 322618) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA 322618) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2025-04-15 |