| NPI | 1306289145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 297521) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN 55773) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2022-10-11 |