| NPI | 1639587850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 46428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 14432) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2022-08-02 |