| NPI | 1144454406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P7327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY Tp946) |
| 207R00000X Internal Medicine (Licence: KY 44773) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2022-09-12 |