| NPI | 1124280524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 64866) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116018461) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.095905) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2012-11-07 |