| NPI | 1689995086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME134146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-133261) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2018-10-17 |