NPI | 1295093615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD0000053284) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD53284) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-24 |
Last Update Date | 2022-03-23 |