| NPI | 1710336169 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 297896-01)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 268229)  | 
| Enumeration Date | 2016-06-07 | 
| Last Update Date | 2022-05-09 |