NPI | 1205463635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 077579) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA ETLL-570) |
207R00000X Internal Medicine (Licence: CT 77579) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-25 |
Last Update Date | 2024-10-15 |