| NPI | 1073727079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NC 2013-01558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101244544) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116017490) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-07-29 |