| NPI | 1437786498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 187075) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 318280) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-09-10 |