| NPI | 1740794353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME167088) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 331025-01) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: AZ 73514) | |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2024-09-17 |