| NPI | 1578805909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME146171) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.063648) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2021-02-10 |