| NPI | 1518522705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.160980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61422983) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 00000000000000000000) | |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2023-07-20 |