| NPI | 1295294676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A181196) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD 1295294676) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2023-11-05 |