| NPI | 1760902258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 333493) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 333493) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 19665) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2025-06-09 |