| NPI | 1700132826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0063704) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P5619) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2020-01-22 |