| NPI | 1679984371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.143864) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2018015038) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2024-01-18 |