| NPI | 1619396843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 69936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35132204) |
| 207R00000X Internal Medicine (Licence: MI 4301105179) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-08-23 |