| NPI | 1962080945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2025-01692) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 34318232) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-06-04 |