| NPI | 1699966614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA08892200) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101242886) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116016658) | |
| 207R00000X Internal Medicine (Licence: VA 0101242886) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2015-02-23 |