| NPI | 1659610681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A160766) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA D9089997) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2019-09-19 |