| NPI | 1972160570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 279753) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 279753) |
| 207R00000X Internal Medicine (Licence: MA 279753) | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2022-06-16 |