| NPI | 1235511411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61553803) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: WI 66306) | |
| 207R00000X Internal Medicine (Licence: ME MD25016) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2024-06-20 |