| NPI | 1710183934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61222822) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0090888) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35132259) | |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301090152) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301090152) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2023-09-11 |