| NPI | 1699166314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 315685) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DE C7-0006842) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2025-08-05 |