| NPI | 1992492995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0107091) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 390200000X) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2026-07-07 |