| NPI | 1932603982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 292472) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0018549) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-07-16 |