| NPI | 1740844935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB13064300) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD H97745) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2026-04-29 |