NPI | 1174883565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR 177661) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: WI 61566-20) | |
Enumeration Date | 2012-05-21 |
Last Update Date | 2016-06-08 |