| NPI | 1104355353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 271203) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2021-07-09 |