| NPI | 1023293396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0069288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D69288) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD P20849) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2022-02-08 |