| NPI | 1558775429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 14776) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01079150A) |
| 207R00000X Internal Medicine (Licence: MN 62805) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-07-21 |