| NPI | 1205331345 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 69076) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0094073) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-29 | 
| Last Update Date | 2023-08-16 |