| NPI | 1477120871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 345288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1018190) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 288905) | |
| Enumeration Date | 2021-06-06 |
| Last Update Date | 2025-05-20 |