| NPI | 1124344122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME165806) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ME MD19469) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 51123) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2024-08-07 |