| NPI | 1912101338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO152484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016829) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101016829) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2022-07-21 |