| NPI | 1780818443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60302495) |
| 207R00000X Internal Medicine (Licence: NY 264568) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2013-05-01 |