| NPI | 1619357001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 61120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 61120) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2023-06-01 |