| NPI | 1639332489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-37091) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.099255) | |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2013-00979) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2014-10-09 |