| NPI | 1689029209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 25MA12638800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 279717) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2025-08-15 |