| NPI | 1205233533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP61061532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM A-2049-17) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2024-04-29 |