| NPI | 1700044054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NY 260723) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 260723-1) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2021-06-18 |