| NPI | 1144514829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101019342) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR DO170459) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2020-04-24 |