| NPI | 1669632311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101246248) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101246248) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101246248) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2018-08-27 |