| NPI | 1891062691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 253091) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NH 20262) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2023-07-19 |