NPI | 1457884512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: FL ME158790) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: NY 306162) | |
Enumeration Date | 2017-04-06 |
Last Update Date | 2023-02-16 |