| NPI | 1083976534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AR E-11317) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 286002-1) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AR E-11317) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 17019) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 286002) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2018-07-17 |