NPI | 1295113041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 292556-1) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 292556) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-13 |
Last Update Date | 2023-05-15 |