| NPI | 1033506308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60860129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 15704) |
| 207R00000X Internal Medicine (Licence: SD 11521) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2024-05-21 |