| NPI | 1104321157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS024449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 309812) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 309812) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-12-19 |