| NPI | 1669504122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 265514-1) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 265514-1) | |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2018-03-17 |