| NPI | 1033409149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 148777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116023569) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2021-10-28 |