| NPI | 1689011447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 265471) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 255644) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2017-07-07 |