| NPI | 1134650344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 287505) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 287505) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2021-09-10 |