| NPI | 1053547174 |
|---|---|
| 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: OR MD168582) |
| 207R00000X Internal Medicine (Licence: OR LL18630) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2021-12-22 |