| NPI | 1649761230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-03302) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: NC 2021-03302) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-20 |
| Last Update Date | 2025-06-13 |