| NPI | 1285052043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME131701) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 0) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2020-09-30 |