| NPI | 1588045702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD183804) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 69367-20) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG172967) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2020-11-10 |