| NPI | 1720501810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 71413) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 71413) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301113198) | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2022-07-21 |