| NPI | 1275190993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 294800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB11400500) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-11-08 |