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 |