NPI | 1619504412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12102700) |
Enumeration Date | 2020-03-24 |
Last Update Date | 2024-02-28 |