| NPI | 1265725550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-12147) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 60277566) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2019-07-26 |