| NPI | 1609284397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB09937100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.012830) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-26 |
| Last Update Date | 2019-05-01 |