| NPI | 1013402817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 288202) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V1904) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2025-08-18 |