| NPI | 1104351808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 70209) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC MMD.40792 LL) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 314667) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2022-05-03 |