| NPI | 1487854055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-12616) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207V00000X Obstetrics & Gynecology (Licence: TX n5163) | |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2012007463) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2016-02-16 |