| NPI | 1386058055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MI 4301503765) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301503765) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: AZ 66428) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2022-07-08 |