| NPI | 1215356670 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036.141218) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036141218) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-15 | 
| Last Update Date | 2021-04-30 |