| NPI | 1932227758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A113061) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 49883) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-03-23 |