| NPI | 1063709517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 9373032-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0059001) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2018-03-17 |