| NPI | 1043674146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A153436) |
| 208000000X Pediatrics (Licence: CA A153436) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2018-10-23 |