| NPI | 1093101651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VC0300X Obstetrics & Gynecology, Complex Family Planning (Licence: NY 309669) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 62303) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2022-09-16 |