| NPI | 1710514096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11798800) |
| 208D00000X General Practice (Licence: NJ 25MA11798800) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-09-27 |