| NPI | 1265744916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 47372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 49963) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2022-10-10 |