| NPI | 1871884817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME120652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.208064) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2019-10-22 |