| NPI | 1740711126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 430150995) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.156721) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-08-23 |