| NPI | 1164050472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U8063) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 209800000X Legal Medicine (Licence: NM MD2023-1530) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-01-09 |