| NPI | 1427431667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AL 40950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN21958) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2018-0394) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2021-05-26 |