| NPI | 1659753945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME147690) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 31682-R) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2020-12-15 |