| NPI | 1992321210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 344469) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301512675) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351046874) | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2025-03-10 |