| NPI | 1871958223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 308878) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA S94155505) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2021-06-30 |