| NPI | 1205413218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102208690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0008675) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.00008675) | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2025-08-14 |