| NPI | 1073717443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036-124696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085539) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301085539) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2021-03-30 |