| NPI | 1568090835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 72809) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31429) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: IL 125.076944) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-12-06 |