| NPI | 1629392600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0013516) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301105545) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2016-06-27 |