| NPI | 1174907968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 96078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 60186) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2023-07-06 |