| NPI | 1144665423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA C170610) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09284600) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 59023) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2023-11-27 |