| NPI | 1538629761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-115150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-RES-LIC-77264) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-04-28 |