| NPI | 1720493463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 63098) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MN 63098) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2018-06-05 |