| NPI | 1467730416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 53495) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125059059) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 53495) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2014-09-26 |