| NPI | 1992097786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 52198) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 172762) |
| 207V00000X Obstetrics & Gynecology (Licence: SC 52198) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2019-10-30 |