| NPI | 1487278446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA11904900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11904900) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116033832) | |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2024-01-02 |