| NPI | 1114411998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 71512) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT216587) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2024-02-06 |