| NPI | 1710432083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD40430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME140493) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2020-06-30 |