| NPI | 1154587517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 51944) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: KS 04-49004) | |
| 207R00000X Internal Medicine (Licence: MO 2024025616) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2024-10-25 |