| NPI | 1851554596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 262008) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 62729) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2011-08-19 |