| NPI | 1053671792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 76930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 62041-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2019-07-30 |