| NPI | 1801337050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VC0300X (Licence: OR MD200154) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD200154) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-07-17 |