| NPI | 1033666441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11050500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0013981) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-06-24 |