| NPI | 1083837173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301088387) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301088387) |
| 208000000X Pediatrics (Licence: MI 4301088387) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301099387) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-09-10 |