| NPI | 1972860211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 278405) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 1972860211) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2019-06-12 |