| NPI | 1518247691 |
|---|---|
| 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: TX R0453) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2017-10-01 |