| NPI | 1558921825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1014024) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1014024) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351044254) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-06-05 |