| NPI | 1275822686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MN 63788) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2018-10-22 |