| NPI | 1639551948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 278245) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI LP03480) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP03480) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2019-06-11 |