| NPI | 1205221694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA a151120) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 2007137) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2018-06-26 |