| NPI | 1235335399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 30080) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI 5010) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2018-08-10 |