| NPI | 1285964833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2013-0649) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2009-0742) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2023-11-01 |