| NPI | 1558406298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042-0011624) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VT 060-0003259) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-13 |