| NPI | 1841604253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2018042203) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 8145) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO4287) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2019-01-13 |