| NPI | 1174730386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 446144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101245768) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116018683) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-03-16 |