| NPI | 1043505852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IA MD-42513) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA MD-42513) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IA R-9171) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2018-07-06 |