| NPI | 1184071813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD200050) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61087337) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2023-12-12 |