| NPI | 1790043677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09665500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268249) |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: MA 268249) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2018-05-04 |