| NPI | 1619900453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 49956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 1759) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 49956) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-02-20 |