| NPI | 1164918058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 31294) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351047365) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2023-07-19 |