| NPI | 1063559318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 0052862) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 295718-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1011) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-08-20 |