NPI | 1760892301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 309619) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 0200000X) |
Enumeration Date | 2014-05-05 |
Last Update Date | 2023-03-30 |