| NPI | 1275094286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 65510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 1275094286) |
| 207R00000X Internal Medicine (Licence: MI 4351045432) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2022-07-28 |