| NPI | 1154612075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0077855) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 282N00000X General Acute Care Hospital (Licence: MD D0077855) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2021-02-24 |