| NPI | 1205246931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S7522) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM 17210208) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 17210208) | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2020-09-16 |