| NPI | 1326347584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012039493) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2021-06-08 |