| NPI | 1891189015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 295500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD22638) |
| 207R00000X Internal Medicine (Licence: CT 70455) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2024-09-07 |