| NPI | 1508040528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 45907) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2012-07-17 |