| NPI | 1477750859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD040939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101247813) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116019735) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-01-28 |