| NPI | 1336648260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 15987-I) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 5080883) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2022-01-14 |