| NPI | 1336528785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD193098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2020-1097) |
| 208000000X Pediatrics (Licence: NM MD2020-1097) | |
| 208000000X Pediatrics (Licence: OR MD193098) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2021-07-22 |