| NPI | 1396360756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NC 2023-00668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2023-00668) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351045929) | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2023-05-10 |