| NPI | 1841496353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301104188) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 141039) |
| 207R00000X Internal Medicine (Licence: NC 2009-02102) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2015-11-30 |