| NPI | 1326466194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 11344A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM RS2014-0425) |
| 207R00000X Internal Medicine (Licence: NM MD2017-0188) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2023-08-18 |