| NPI | 1790277671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 333454) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA R-11286) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 333454-01) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2025-08-27 |