| NPI | 1225492887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 73672) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101269107) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: OH 57.027627) | |
| 207R00000X Internal Medicine (Licence: OH 35135139) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-07-08 |