| NPI | 1952560112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P3418) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2021-12-12 |