| NPI | 1255993689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2023-1012) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075191) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN35067) | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2023-06-22 |