| NPI | 1063969491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 022053) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 32494R) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-04-16 |