| NPI | 1669891123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 269533) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2018-06-19 |