| NPI | 1962605360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2018-00975) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AL MD. 29318) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207SM0001X Medical Genetics, Molecular Genetic Pathology (Licence: NC 1013680) | |
| 207V00000X Obstetrics & Gynecology (Licence: AL 29318) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-10-26 |