| NPI | 1861235145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 1119R) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 1119R) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2026-07-14 |