| NPI | 1316331648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VC0300X Obstetrics & Gynecology, Complex Family Planning (Licence: NY 310596) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-12-06 |