| NPI | 1992110431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 287906) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 287906) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2021-09-14 |