| NPI | 1265691687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.205306) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA PGY 1 Permit) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA 205306) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2015-11-30 |