| NPI | 1225265754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A131345) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301094566) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301094566) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2022-02-07 |