| NPI | 1609294636 |
|---|---|
| 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: MA 273036) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MA 273036) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2022-03-30 |