| NPI | 1467974170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 70091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61050330) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: IL 125.070317) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2024-05-14 |