| NPI | 1215344197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301114295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R3473) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY R3473) | |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2023-11-27 |