| NPI | 1982085635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T0547) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 1982085635) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2021-04-07 |