| NPI | 1255810693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T5385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 432774) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036156651) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2025-04-28 |