| NPI | 1144458951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C168193) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 69418) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195290) | |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09368800) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD449875) | |
| 207V00000X Obstetrics & Gynecology (Licence: MN 65381) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2021-03-15 |