| NPI | 1649444365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 48574) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 48574) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2024-03-22 |