| NPI | 1598925802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 45061) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN12238) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME111904) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2012-08-03 |