| NPI | 1861790453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2012028153) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MO 2012028153) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2018-08-28 |