| NPI | 1306283452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042-0015389) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 265524) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 255265) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2021-11-15 |