| NPI | 1568666568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101256775) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301090239) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.0970732) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2017-04-28 |