| NPI | 1447484506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A122065) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R72772) |
| 207R00000X Internal Medicine (Licence: AZ 47160) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2022-02-11 |