| NPI | 1356802201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-51150) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: IA MD-51150) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-06-01 |