| NPI | 1881221547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD485654) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64300) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-09-05 |