| NPI | 1710243621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 268474) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MA 268474) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 252039) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2020-11-02 |