| NPI | 1073830022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 271136-1) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 61001) |
| 207R00000X Internal Medicine (Licence: RI LP02366) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2013-07-23 |