| NPI | 1255698072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 80623) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125062300) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2016-01239) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2018-05-25 |