| NPI | 1598198442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61032427) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.027909) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2020-09-23 |