| NPI | 1013354893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60778787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO176845) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG164145) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2018-03-17 |