| NPI | 1316383151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD047797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 9695469-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2019-12-16 |