| NPI | 1801020524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA09178500) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DE C1-0009164) | |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2016-03-30 |