| NPI | 1376749366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301089906) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 4301089906) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301089906) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2012-04-26 |