| NPI | 1568872075 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 289413)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 289413)  | 
| 207R00000X Internal Medicine (Licence: NY 2894713-1)  | |
| Enumeration Date | 2014-05-06 | 
| Last Update Date | 2020-11-10 |