| NPI | 1881057297 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 87725)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 207V00000X Obstetrics & Gynecology (Licence: ME MD24458)  | |
| Enumeration Date | 2016-04-01 | 
| Last Update Date | 2025-10-30 |