| NPI | 1184878639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 29697) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL R10117) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2009-10-01 |