| NPI | 1598082620 |
|---|---|
| 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: GA 75074) |
| 208000000X Pediatrics (Licence: GA 75074) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2016-08-16 |