| NPI | 1528595949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 13199961-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 13199961-1205) |
| 208000000X Pediatrics (Licence: AZ 63419) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019206A) | |
| 207R00000X Internal Medicine (Licence: AZ 63419) | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2023-06-24 |