| NPI | 1023750601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12716800) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2025-07-02 |