| NPI | 1508156969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0054191) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60680947) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2023-08-29 |