| NPI | 1265811012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A18651) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA OP60938481) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2021-04-22 |