| NPI | 1356886089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2019038861) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2019022202) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2020-06-25 |