| NPI | 1043871486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01089991A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101026908) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.074531) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-08-17 |