| NPI | 1174170781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301506794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T6051) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10068796) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-09-11 |