| NPI | 1073757993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 05191) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ r1541) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2016-12-06 |