| NPI | 1538778337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 327045) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207Q00000X Family Medicine (Licence: NJ 25MA12082500) | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2025-10-01 |