| NPI | 1437643699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 35237-R) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14686-I) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2022-01-18 |