| NPI | 1306149794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 265066) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 265066) | |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2016-03-14 |