| NPI | 1619461084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12754500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0024318) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2026-07-09 |