| NPI | 1275795874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 110923) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 046259) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2019-08-07 |