| NPI | 1609037993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-7038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017870) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101017870) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2011-06-14 |