| NPI | 1093135824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA 60798315) |
| 207V00000X Obstetrics & Gynecology (Licence: OR 183253) | |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2022-02-11 |