| NPI | 1376771758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 250627) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 241420) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2016-03-04 |