| NPI | 1124267091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MB08886800) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 248292) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 248292) | |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2011-04-25 |