| NPI | 1811127459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.125672) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P4921) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2015-12-04 |