| NPI | 1023541315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME150944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 1067269) |
| 207R00000X Internal Medicine (Licence: CA A165249) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: FL ME150944) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-02-19 |