| NPI | 1053555706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NC 157000) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 121001) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VA 0101271378) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 157000) | |
| Enumeration Date | 2009-04-25 |
| Last Update Date | 2023-08-11 |