| NPI | 1528265147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI 14778) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI 4560) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A104822) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2015-11-03 |