| NPI | 1598062259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09504300) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 1598062259) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2023-02-08 |