| NPI | 1548680309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 56538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 56538) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 56538) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2022-05-31 |