| NPI | 1730383530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09509100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 262783-1) |
| 207R00000X Internal Medicine (Licence: MD D71168) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-07-06 |