| NPI | 1902052848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 274508-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L1377739) |
| 207R00000X Internal Medicine (Licence: MI L1377740) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116021876) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2015-08-22 |