| NPI | 1417397423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01077084A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 01077084A) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2024-05-17 |