| NPI | 1811197015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 331239) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301090774) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207V00000X Obstetrics & Gynecology (Licence: TX Q6298) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2022-10-26 |