| NPI | 1811350820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: MD D89679) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD V5428) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2020-09-04 |