| NPI | 1558562900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2009018161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009018161) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2009018161) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2009018161) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2021-12-02 |