| NPI | 1598172595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME156017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.36857) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2022-08-24 |