| NPI | 1053678581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A135059) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GU M-2107) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2018-03-21 |