| NPI | 1871919134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036.150440) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.013540) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5101021076) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2021-01-20 |