| NPI | 1619235587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.132736) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 054887) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT201316) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT201316) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2018-07-06 |