| NPI | 1063643195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 57236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P24261) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2014-06-16 |