| NPI | 1053607523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD61142511) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD61142511) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301114286) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2024-06-19 |