| NPI | 1154827095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U3641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.144053) |
| 208000000X Pediatrics (Licence: OH 35.144053) | |
| 208000000X Pediatrics (Licence: TX U3641) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2024-03-08 |