| NPI | 1477040590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V6252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 311900-01) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2025-07-23 |