| NPI | 1952530685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 269093) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA 60344560) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 62860) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2019-03-13 |