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 |