| NPI | 1861782302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-42669) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207V00000X Obstetrics & Gynecology (Licence: MT MED-PHYS-LIC-60678) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2022-11-09 |