| NPI | 1083989339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0056174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2023-02543) |
| 207R00000X Internal Medicine (Licence: GA 90557) | |
| 207R00000X Internal Medicine (Licence: AZ 61325) | |
| 207R00000X Internal Medicine (Licence: WA MD61172776) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: TX T6182) | |
| 207R00000X Internal Medicine (Licence: MA 1015960) | |
| 207R00000X Internal Medicine (Licence: CT 53936) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2024-07-25 |