| NPI | 1538654413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME163684) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT216779) |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2023-08-03 |