| NPI | 1689066987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 292646) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 292646) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2022-09-21 |