| NPI | 1790048387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TN MD0000057900) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT201230) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35-127847) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-06-25 |