| NPI | 1205299898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S4505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01082515A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX S4505) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-08-10 |