| NPI | 1184918039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 70859) |
| Additional Taxonomies | 101Y00000X Counselor |
| 207R00000X Internal Medicine (Licence: AZ R78683) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2024-06-13 |