| NPI | 1043470065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101017761) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017761) |
| 208000000X Pediatrics (Licence: MI 5101017761) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |