| NPI | 1154611069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U6781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U6781) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY MD445844) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2024-03-22 |