| NPI | 1164835005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 80705) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 0101261415) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116027044) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2025-04-18 |