| NPI | 1134758212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2024015951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-10431) |
| 208000000X Pediatrics (Licence: MO 2024015951) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-06-14 |