| NPI | 1750393245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 242157) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 242157) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 242157) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-07-05 |