| NPI | 1427286392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.013521) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 069649) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2022-04-20 |