| NPI | 1093848731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 002412) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 244918) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-09-12 |