| NPI | 1063425205 |
|---|---|
| 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: MI 4301094127) |
| 208000000X Pediatrics (Licence: MI 4301094127) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2009-06-15 |