| NPI | 1063724086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0061804) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60447153) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2025-09-26 |