| NPI | 1760914543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A197663) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX TX4872) |
| 207V00000X Obstetrics & Gynecology (Licence: TX 47486) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2024-07-19 |