| NPI | 1174064513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME151107) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME151107) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2022-09-19 |