| NPI | 1841461084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MT 12077) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207V00000X Obstetrics & Gynecology (Licence: NY 253320) | |
| 207V00000X Obstetrics & Gynecology (Licence: MT 12077) | |
| Enumeration Date | 2008-03-16 |
| Last Update Date | 2019-07-15 |