| NPI | 1851634711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 275019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.0013585) |
| 207R00000X Internal Medicine (Licence: MA 275019) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2023-10-31 |