| NPI | 1962857102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: GA 84748) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.069314) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2023-05-22 |