| NPI | 1568800233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 64113) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2016-00686) |
| 207R00000X Internal Medicine (Licence: NC 191933) | |
| 207R00000X Internal Medicine (Licence: MA 274060) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2016-00686) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2023-02-21 |