| NPI | 1083931711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 8820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 57154) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2018-10-17 |