| NPI | 1043899545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101289071) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036170877) | |
| 207R00000X Internal Medicine (Licence: WI 81777-20) | |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2026-08-04 |