| NPI | 1407293525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 256417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256417) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |