| NPI | 1225293186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 55773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092303) |
| 208000000X Pediatrics (Licence: MI 4301092303) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092303) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2012-09-13 |