| NPI | 1104367499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 04922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO5380) |
| 207R00000X Internal Medicine (Licence: FL OS16809) | |
| 207R00000X Internal Medicine (Licence: KY 04922) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-05-30 |