| NPI | 1508351180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.156125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.245763) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2021-06-29 |