| NPI | 1083807952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 25645) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301086572) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301086572) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2011-07-22 |