| NPI | 1801036942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101249834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013033379) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2019-09-10 |