| NPI | 1093966871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO 0055237) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A112055) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 39) | |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2021-04-20 |