| NPI | 1447472592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 201201763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101250138) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116017592) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-09-20 |