| NPI | 1679776132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI DOS1236) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: HI DOS 1236) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2012-10-23 |