| NPI | 1518305309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 59711) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 278664) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN18421) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2020-05-27 |