| NPI | 1679097968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 287700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04133) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2023-01-25 |