| NPI | 1841654159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX U4836) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 282751) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME155958) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2025-07-07 |