| NPI | 1942654736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101283126) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME MD26108) |
| 207V00000X Obstetrics & Gynecology (Licence: NM MD2020-0282) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2024-09-30 |