| NPI | 1750835088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME156229) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 14804) |
| 207V00000X Obstetrics & Gynecology (Licence: PR 35110) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2022-05-12 |