| NPI | 1538514450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 11948A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61504986) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2024-01-10 |