NPI | 1396192431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0086980) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MD D0086980) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-18 |
Last Update Date | 2019-06-13 |