| NPI | 1689858268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME129851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 242696) |
| 207R00000X Internal Medicine (Licence: MD D0070199) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 242696) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2019-04-22 |