| NPI | 1568758258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH Training Certificate) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA R9266) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2013-11-14 |