| NPI | 1881046365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 307102) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 32353) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 33038R) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2020-09-21 |