| NPI | 1023471752 |
|---|---|
| Other Name | NA NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 301026) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-05-03 |