| NPI | 1275229361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A201669) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A201669) | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2026-09-10 |