| NPI | 1093910671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 05-46884) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2010040490) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 58002034) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 2010040490) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-04-02 |