| NPI | 1255873832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL TRN25075) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 53430) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 53430) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 14079i) | |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2024-07-02 |