| NPI | 1548680929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 065336) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 293094) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2022-09-28 |