| NPI | 1114493475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2021-1143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY P10441) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2022-03-17 |