| NPI | 1639303878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301113174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0077198) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2017-08-11 |