| NPI | 1306322276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 316419) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: NY 316419) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2022-08-25 |