| NPI | 1811122138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 32719) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 32719) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-17 |
| Last Update Date | 2013-09-26 |