| NPI | 1932242377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101252150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 42803) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-10-02 |