| NPI | 1215134655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 30615) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI mdr-4567) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-10-21 |