| NPI | 1689829004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A111027) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY FM1041033) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2013-11-13 |