| NPI | 1801240486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 70150) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 60078) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2022-06-22 |