| NPI | 1275080194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 19440) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19440) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 19440) | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-07-03 |