| NPI | 1356636351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD172056) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098886) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR MD172056) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2019-05-22 |