| NPI | 1265695118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301092733) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092733) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301092733) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092733) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MI 4301092733) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2015-07-31 |