| NPI | 1124549282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301514025) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2017022321) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2025-06-27 |