| NPI | 1184002115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301106951) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2019-04-25 |