| NPI | 1841450897 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D85768)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 254521)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-12 | 
| Last Update Date | 2023-01-27 |