| NPI | 1346734043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036162330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101024271) |
| 207R00000X Internal Medicine (Licence: MN 72636) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101024271) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-12-08 |