| NPI | 1528364809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 48409) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 010254974) |
| 207R00000X Internal Medicine (Licence: TN 50484) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA09402200) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2014-11-19 |