| NPI | 1043456320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D79581) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD043247) |
| 207R00000X Internal Medicine (Licence: VA 0101258447) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2022-01-10 |