| NPI | 1952834301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2024-02572) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2021-0734) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 227703) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-09-07 |