| NPI | 1295269744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 68006) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2021-07-02 |