NPI | 1710675467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 60-P130393-01) |
Enumeration Date | 2023-04-28 |
Last Update Date | 2025-04-15 |