| NPI | 1831486711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 64969) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 4301098496) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2016-01-18 |