| NPI | 1225473622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10046300) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ 25MA10046300) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2020-06-21 |