| NPI | 1053519926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME159191) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM md2011-0483) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2023-01-27 |