| NPI | 1013109933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME98925) |
| 207R00000X Internal Medicine (Licence: CO DR.0062421) | |
| 282N00000X General Acute Care Hospital (Licence: FL ME98925) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2019-07-30 |