| NPI | 1598108631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 62423) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN E405050262409) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2024-03-04 |