| NPI | 1730448911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME153291) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10105000) |
| 208M00000X Hospitalist (Licence: NJ 25MA10105000) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2021-11-05 |