| NPI | 1598100059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35136487) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD461451) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2020-07-29 |