| NPI | 1306209077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 10493714-1205) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2019-05-20 |