| NPI | 1871098376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 72163) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 21006) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 14407-I) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-10-18 |