| NPI | 1235712886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 294188) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL 32429) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 38795) | |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2022-09-13 |