| NPI | 1568983062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME171253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 305290) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2025-03-03 |