| NPI | 1346760691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OR DO206574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO206574) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR DO206574) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-09-13 |