| NPI | 1619504644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020017469) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A189978) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-10-24 |