| NPI | 1154583094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID O-0685) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 45921) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL45921) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2022-08-25 |