| NPI | 1013400753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01087791A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 309007) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 309007) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-02-09 |