| NPI | 1992167100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME166403) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-00369) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2024-03-19 |