| NPI | 1609119635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 266078) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA MD468967) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2020-09-22 |