| NPI | 1528244936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101248239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA0885160) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2021-11-22 |