| NPI | 1366646440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A11086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016575) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101016575) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2013-02-26 |