| NPI | 1497142392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA T289373) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD467097) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2021-08-09 |