| NPI | 1720612393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 22858) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 35613R) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-02-23 |
| Last Update Date | 2023-11-01 |