| NPI | 1063070415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX BP10075432) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0016033125) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2023-06-09 |