| NPI | 1457694416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 60480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 60480) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 60480) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2020-10-07 |