| NPI | 1134689474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A177622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A177622) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A177622) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2022-06-27 |