| NPI | 1427269687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 061369) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI MDR4794) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2009-02-09 |