| NPI | 1790959492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301100281) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 15178) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2020-02-10 |