| NPI | 1508308040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: CA A178029) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.137589) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2022-09-13 |