| NPI | 1447697206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME172428) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT204765) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT204765) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2025-07-01 |