| NPI | 1033525316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A16299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS14016) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO4242) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2021-03-31 |