| NPI | 1366947996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NM MD2022-0746) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 64028) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2022-07-12 |