| NPI | 1205288313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME150142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 58364) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2025-09-03 |