| NPI | 1336329051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 40746) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-096689) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57-013969) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2018-03-17 |