| NPI | 1548469489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 56949) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 008505-1) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2018-01-23 |