| NPI | 1497160261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 51589) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R3630) |
| 207V00000X Obstetrics & Gynecology (Licence: KY TP606) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2018-06-28 |