| NPI | 1922360148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY P120314) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301101254) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301101254) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2023-04-05 |