| NPI | 1669591350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301088602) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301088602) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301088602) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |