| NPI | 1841865359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine Adolescent Medicine (Licence: NJ 25MA12360300) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2025-06-21 |