| NPI | 1659767846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME141108) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 1659767846) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2020-03-16 |