| NPI | 1760872337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 21411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 31574R) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 32,712R) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2019-08-30 |