| NPI | 1639662638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 72259) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI LP04392) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-08-05 |