| NPI | 1215514609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 64419) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX V6866) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-03-25 |