| NPI | 1861922734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 306200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10922300) |
| 207R00000X Internal Medicine (Licence: NJ 25MA10922300) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2021-03-24 |