| NPI | 1407410731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 21137) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA PEYMAH083JL) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2023-12-27 |