| NPI | 1730741281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL 168481) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 36510) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2024-07-31 |