| NPI | 1992251144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DE C1-0024998) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA10565800) |
| 207R00000X Internal Medicine (Licence: DE C1-0024998) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA10565800) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2022-08-08 |