| NPI | 1770075350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 83830) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH APP-000142901) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-09-02 |