| NPI | 1093177180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 066962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1023116) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CT 066962) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2025-08-20 |