| NPI | 1710139068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 11289) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ND RL10225) |
| 207R00000X Internal Medicine (Licence: ND PT 11289) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2011-12-29 |