| NPI | 1255693867 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD H0092807) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS018380) | 
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB10133400) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT014893) | |
| Enumeration Date | 2012-06-10 | 
| Last Update Date | 2023-10-17 |