| NPI | 1689837114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 59122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092361) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092361) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-10-27 |