| NPI | 1285925164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A138443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 16639) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2020-06-26 |