| NPI | 1942696901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-46134) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 94-08716) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2019-08-20 |