| NPI | 1366647786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX P1789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P1789) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2019-12-12 |