| NPI | 1205269867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD201958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A158608) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-08-17 |
| Last Update Date | 2022-06-13 |