| NPI | 1255912036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-23285) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208D00000X General Practice (Licence: HI MD-23285) | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2024-07-26 |