| NPI | 1588229876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2026-02803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301506916) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2026-06-26 |