| NPI | 1871911230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102208270) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS15300) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-07-09 |