| NPI | 1437476462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133812) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: Not Applicable) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2018-03-17 |