| NPI | 1386120293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 44452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 88431) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2022-07-25 |