| NPI | 1487031365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 65726) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 65726) |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: TN 65726) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 65726) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2022-08-18 |