| NPI | 1215341722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 274210) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274210) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 259603) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2018-06-15 |