| NPI | 1093151854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 072995) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA 60776521) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2022-12-20 |