| NPI | 1134407513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01075608A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275920) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2020-06-18 |