| NPI | 1760657878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 257265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233445) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2011-05-10 |