| NPI | 1568819316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 300976) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2023-01-04 |