| NPI | 1083897318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60461306) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101-251607) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2020-12-09 |