| NPI | 1962778027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 000000) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116027875) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT202728) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2021-02-02 |