| NPI | 1649683566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME140517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 31730-R) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 24215) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2019-09-26 |