| NPI | 1679003503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070762) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-06-19 |