| NPI | 1407219827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 1.066488) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.028384) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2020-07-24 |