| NPI | 1093975120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60552256) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0010469) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2018-10-09 |