| NPI | 1205159621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 13598) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 114242) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2018-08-09 |