| NPI | 1861029423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A20821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ C36753838256902) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ C36753838256902) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-06-21 |