| NPI | 1336661560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036.152785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61629890) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.070307) | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2025-05-06 |