| NPI | 1093938417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A116090) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN TBD) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-12-01 |