| NPI | 1417462912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 332584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0090457) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2024-10-22 |