| NPI | 1659698686 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX S1643) | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 254442) | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: Not Applicable) | |
| Enumeration Date | 2010-04-30 | 
| Last Update Date | 2019-06-25 |