| NPI | 1114155454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2014020689) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NE 6398) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2009017059) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2016-08-30 |