NPI | 1649577495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09476100) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 46041) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-02-14 |
Last Update Date | 2021-09-20 |