| NPI | 1780962852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MI 4301098942) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098942) |
| 207R00000X Internal Medicine (Licence: MI 4301098942) | |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2016-10-10 |