| NPI | 1841557121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 65365) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 58426) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2019-04-24 |