| NPI | 1467980961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR DO219746) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R2826) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA OP61041037) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA 18033) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R2826) | |
| Enumeration Date | 2017-05-27 |
| Last Update Date | 2024-10-25 |