| NPI | 1295021756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 262263) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP02352) |
| 207V00000X Obstetrics & Gynecology (Licence: MA Lp0235) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2016-03-02 |