| NPI | 1265055123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301514778) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA ETLL-1001) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2026-03-12 |