| NPI | 1386136059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 23-152) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 23-152) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 35883-R) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 35720-R) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 34814) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-11-17 |