| NPI | 1003207903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-00568) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 293110) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2021-08-12 |