| NPI | 1952562233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 249252) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA L-232889) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2014-12-18 |