| NPI | 1205124104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101266327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD200001232) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2011017844) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2021-07-22 |