| NPI | 1902164874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60970294) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A140322) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT201361) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT201361) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2021-09-29 |