| NPI | 1295051001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 273817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD41726) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2014-06-20 |