| NPI | 1609436161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 291814) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 340307) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2025-10-27 |