| NPI | 1033569801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 73955) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 303369) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-06-22 |