| NPI | 1134514847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61253469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 21129) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NV 21129) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NV 21129) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-05-07 |