| NPI | 1740541291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0084730) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101256369) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-08-07 |