| NPI | 1285029066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 297321) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA S09293801) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2019-07-06 |