| NPI | 1477129047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME159250) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN33263) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2023-06-28 |