| NPI | 1306045406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301085204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085204) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2009-04-08 |