| NPI | 1962906180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11088900) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ B68791528251912) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-08-22 |