| NPI | 1821251778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301092125) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q1367) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092125) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2016-06-16 |