| NPI | 1891098752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 270113) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 169734) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2023-03-13 |