| NPI | 1295148245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T0375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A150108) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2021-06-23 |