NPI | 1457856213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX V0459) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX V0459) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.145074) | |
Enumeration Date | 2018-03-26 |
Last Update Date | 2024-06-28 |