| NPI | 1760069942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 64531) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CT 80676) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2025-05-13 |