| NPI | 1124655873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 80044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 80044) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64291) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-08-26 |