| NPI | 1619400439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 009753) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY TP510) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 05568) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-06-16 |