| NPI | 1730685173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 75721) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A163428) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 75570) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-11-03 |