| NPI | 1346525888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 53311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-41734) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2020-02-12 |