| NPI | 1245678291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 307227) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD460665) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT205097) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT205097) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 307227) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2020-10-05 |