| NPI | 1609213925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME136481) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 19808) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 33086-R) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 32644-R) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2018-08-20 |