| NPI | 1164664249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D76640) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 279128) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2023-05-15 |