| NPI | 1184010639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01080214A) |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2018-06-08 |