| NPI | 1811195894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME134226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0436474) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2022-02-10 |