| NPI | 1245813252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A22731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG205318) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG205318) | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-07-30 |