| NPI | 1962763730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 261926) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 251924) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2015-11-30 |