| NPI | 1871977132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN36711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A155344) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A155344) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10076746) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT208564) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2023-07-03 |