NPI | 1366784654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 266799) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 266799) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-25 |
Last Update Date | 2021-07-12 |