| NPI | 1801179577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D81052) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301099940) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2016-08-25 |