| NPI | 1679715916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A127604) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 25066) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2022-09-16 |